Settepani Fabrizio, Marianeschi Stefano Maria, Costetti Alessandro, Russo Claudio Francesco
Cardiac Surgery Unit, Cardio-Thoraco-Vascular Department, Niguarda Hospital, Milan, Italy.
Eur J Cardiothorac Surg. 2021 Jan 4;59(1):271-273. doi: 10.1093/ejcts/ezaa343.
An easily reproducible surgical technique to switch from percutaneous minimally invasive biventricular mechanical support to cardiopulmonary bypass during heart transplantation is illustrated. After cannulation of the distal ascending aorta with a standard arterial cannula, the ProtekDuo® cannula and the ProtekSolo® Transseptal cannula were partially retracted to reach the superior and inferior vena cava, respectively, and connected to the pump circuit for the venous drainage. With this cardiopulmonary bypass configuration, orthotopic heart transplantation was routinely performed and, at the end of the procedure, the 2 cannulas were uneventfully removed.
本文展示了一种易于重复的手术技术，即在心脏移植过程中从经皮微创双心室机械支持转换为体外循环。在用标准动脉插管对升主动脉远端进行插管后，将ProtekDuo®插管和ProtekSolo®经房间隔插管分别部分回撤以到达上腔静脉和下腔静脉，并连接到用于静脉引流的泵回路。采用这种体外循环配置，常规进行原位心脏移植，并且在手术结束时，顺利移除这两根插管。
